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NPI Code Detail

MEDICARE: MELANIE A HALL CRNA

MEDICARE: MELANIE A HALL CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistR 110576-8MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558335562
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE A HALL CRNA
Provider Business Mailing Address
First Line : PO BOX 47159
Second Line :
City : PLYMOUTH
State : MN
Zip : 55447-0159
Country : US
Telephone Number : 763-559-3779
Fax Number : 763-450-3986
Provider Business Practice Location Address
First Line : 14700 28TH AVE N STE 20
Second Line :
City : PLYMOUTH
State : MN
Zip : 55447-4876
Country : US
Telephone Number : 763-559-3779
Fax Number : 763-450-3986
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 12/10/2018

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1821090564 — KARIN KENYON CRNA
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1538124524 — CHRISTIAN D. STEVENS M.D.
Practice Location Address:
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Practice Fax: 763-450-3986

Directions to “ MELANIE A HALL CRNA” Practice Location

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